Femur fractures: overview and outcomes.

Patient

Q: Can a broken fermur heal on its own

Doctor

A:   The treatment and outcomes of the femur fractures depend on several factors: localization of the fracture, displacement, number of fragments, integrity of the skin and soft tissues, blood supply in the area, age and bone calcium. For example, the treatment of acute trauma-related femoral fractures is performed by an orthopedic surgeon and usually involves surgical stabilization (nails, screws, plates). In cases of traumatic femoral fractures, schedule a clinic follow-up visit at 2 weeks, 6 weeks, 3 months, 6 months, and 1 year. The femoral fracture should be healed by 3 months. Once bony union is complete, treatment is focused on muscle rehabilitation. For femoral stress fractures of the medial compression side, protected crutch-assisted, touch-down weight bearing is implemented for 1-4 weeks, based on the resolution of symptoms and the appearance of callus (bone healing seen in the x-rays). For femoral stress fractures, a minimum time of 6 weeks is necessary for bone healing to occur before the patient is able to resume activities. The management of femur injuries in the sports setting is intended to restore alignment. If limb deformity is present, inline longitudinal traction is applied, realigning the extremity and maintaining limb blood supply. A splint is applied to maintain the alignment as the patient is transported to the hospital for definitive treatment. Consultation with orthopedic surgeons is required in cases of femoral fractures, and a definitive treatment plan is left to their judgment.

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